Individual
STEPHEN BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1225 E COOLSPRING AVE, MICHIGAN CITY, IN 46360-6312
(219) 861-8161
(219) 873-9504
Mailing address
1225 E COOLSPRING AVE, MICHIGAN CITY, IN 46360-6312
(219) 861-8161
(219) 873-9504
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01031148A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000347039
ANTHEM
IN
05
—
100192700
—
IN
01
—
P00246910
RR MEDICARE
—
Enumeration date
01/23/2006
Last updated
08/08/2011
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